Latasha Rideaux, CPRSS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10326 Greenbriar Pkwy
Oklahoma City, OK 73159-7643

Phone

(405) 759-3860

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Latasha Denise Rideaux X Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fountain of Hope Family Services, Inc.

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1679992739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1346876141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 SE 68TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351911",
            "telephone_number": "405-822-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10326 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597643",
            "telephone_number": "405-759-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021080",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEAUX",
        "first_name": "LATASHA",
        "name_prefix": "Miss",
        "credential": "CPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "RIDEAUX",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "suffix": "X",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ricky Swaim PLLC
• Molly Ruth Riddel, APRN-CNP, FNP
• Hannah Rhea Riddle, PA-C
• David Riddles
• Mark Riddles, BHRS
• Gabraella Ridenour
• Steven Rideout
• Vernon Tyrone Rider, P.T.
• Ridgway Investments, LLC
• Amy Leggett Ridgway, PT, DPT

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.